Active NPI
Nicole Ayanna Williamson, M.D.
- Internal Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 87195
- Practice address
- 701 Grove Rd FL 5
Greenville, SC 29605-4210 - Phone
- (864) 695-6187
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 87195 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 28279 | OK |
Addresses
Primary practice location
701 Grove Rd FL 5
Greenville, SC 29605-4210
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other practice location 1
3300 NW Expressway St
Oklahoma City, OK 73112-4418
Phone (405) 949-3011
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 871952 | Medicaid | SC | |
| SCP4015019 | Other | SC | MEDICARE PIN |
| SCP4019068 | Other | SC | MEDICARE PIN |
| 200335530A | Medicaid | OK |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NicoleWilliamson@direct.jcmh.com | ||
| Direct Messaging Address | nwilliamson256891@direct-srhs.et0939.epichosted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978
3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589
4401 S Western
Wound Care Clinic
Oklahoma City, OK 73109-3413
Phone (405) 636-7000
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000
4421 S Western Ave
Suite 1030
Oklahoma City, OK 73109-3413
Phone (405) 644-5398
5501 N Portland
Select Specialty Hosp West
Oklahoma City, OK 73112-2074
Phone (405) 951-4016
701 Grove Rd
Suite 5
Greenville, SC 29605-4210
Phone (864) 455-4411
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- Integris Southwest Medical Center
- SSM Health St Anthony Hospital - Oklahoma City
- O U Medical Center
- Integris Baptist Medical Center, Inc
- SSM Health St Anthony Hospital - Shawnee
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.33 of 100
- Quality
- 75.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.29
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.46 of 100
- Improvement activities
- 20
- Cost
- 68.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physicians LLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Internal Medicine | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| HCC Duncan Inc | Current | Accepting new patients | |
| Metro Healthcare Services LLC | Internal Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pelham Medical Center | Internal Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Internal Medicine | Current | Accepting new patients |
| Prisma Health University Medical Group | Internal Medicine | Current | Accepting new patients |
| Leading Edge Emergency Physicians, Inc | Past | Accepting new patients | |
| Integris Baptist Medical Center Inc | Past | Accepting new patients | |
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000
1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458
3001 Quail Springs Pkwy
Oklahoma City, OK 73134
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
2129 SW 59th St
Oklahoma City, OK 73119
Phone (405) 680-2270
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- nwilliamson256891@direct-srhs.et0939.epichosted.com
- nicolewilliamson@direct.jcmh.com
- nwilliamson769208@direct.ghs.myhfn.org
- nwilliamson416355@direct-ehr-ssmhc.com
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Internal Medicine
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
Internal Medicine
-
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1588374797
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Emergency Medicine Physician
- Greer, SC
- NPI 1619133568
-
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
- Hospitalist Physician
- Duncan, OK
- NPI 1013153543
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
- Internal Medicine Physician
- Greer, SC
- NPI 1245496983
-
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
-
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1518136183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-695-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD FL 5",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-695-6187"
}
],
"practiceLocations": [
{
"address_1": "3300 NW Expressway St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731124418",
"country_code": "US",
"telephone_number": "405-949-3011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "NICOLE",
"middle_name": "AYANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "87195",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "28279",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "871952",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCP4015019",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCP4019068",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200335530A",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NicoleWilliamson@direct.jcmh.com",
"affiliation": "N",
"address_1": "1200 E Pecan St",
"city": "Altus",
"state": "OK",
"country_code": "US",
"postal_code": "735216192",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nwilliamson256891@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "nwilliamson256891@direct-srhs.et0939.epichosted.com",
"address_1": "101 E Wood St Ste 401",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293033040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.